HUM

A comprehensive pediatric rheumatology case study for 2025/2026 on a 16-year-old male presenting with symmetric hand and wrist swelling, severe bilateral heel pain (enthesitis), inflammatory lower back pain, morning stiffness exceeding one hour, and a personal history of psoriasis and uveitis. This case explores the diagnostic criteria for Enthesitis-Related Arthritis (ERA), a subtype of Juvenile Idiopathic Arthritis (JIA), including the critical triad of peripheral arthritis, enthesitis, and ax...

A comprehensive pediatric rheumatology case study for 2025/2026 on a 16-year-old male presenting with symmetric hand and wrist swelling, severe bilateral heel pain (enthesitis), inflammatory lower back pain, morning stiffness exceeding one hour, and a personal history of psoriasis and uveitis. This case explores the diagnostic criteria for Enthesitis-Related Arthritis (ERA), a subtype of Juvenile Idiopathic Arthritis (JIA), including the critical triad of peripheral arthritis, enthesitis, and ax...

A comprehensive primary care case study for 2025/2026 on a 65-year-old male with progressive right shoulder pain and stiffness, functional limitations, and a history of type 2 diabetes. This case explores the classic presentation of adhesive capsulitis (frozen shoulder) in the freezing phase, including differential diagnosis from rotator cuff pathology, cervical radiculopathy, and glenohumeral osteoarthritis. Covers evidence-based conservative management with physical therapy, NSAIDs with GI pro...

A comprehensive urgent care case study for 2025/2026 on a 25-year-old female presenting with acute, painful, blistering rash on the chest and back. This case explores the classic presentation of herpes zoster (shingles) in a young, immunocompetent adult, including prodromal symptoms, dermatomal distribution, neuropathic pain, and ipsilateral lymphadenopathy. Covers clinical diagnosis, evidence-based antiviral therapy (valacyclovir), multimodal pain management (gabapentin, NSAIDs), prevention of ...

A comprehensive urgent care case study for 2025/2026 on a 25-year-old female presenting with acute, painful, blistering rash on the chest and back. This case explores the classic presentation of herpes zoster (shingles) in a young, immunocompetent adult, including prodromal symptoms, dermatomal distribution, neuropathic pain, and ipsilateral lymphadenopathy. Covers clinical diagnosis, evidence-based antiviral therapy (valacyclovir), multimodal pain management (gabapentin, NSAIDs), prevention of ...

A high-acuity pediatric case study for 2025/2026 on an 18-month-old female with complex congenital heart disease (single ventricle physiology, status post bidirectional Glenn) presenting with acute cough, increased work of breathing, and signs of heart failure exacerbation. This case explores the critical intersection of viral bronchiolitis and cardiac decompensation in medically fragile children. Includes comprehensive history taking, physical examination findings (hepatomegaly, wheezing, poor ...

A high-acuity pediatric case study for 2025/2026 on an 18-month-old female with complex congenital heart disease (single ventricle physiology, status post bidirectional Glenn) presenting with acute cough, increased work of breathing, and signs of heart failure exacerbation. This case explores the critical intersection of viral bronchiolitis and cardiac decompensation in medically fragile children. Includes comprehensive history taking, physical examination findings (hepatomegaly, wheezing, poor ...

A comprehensive primary care case study for 2025/2026 on a 30-year-old female presenting with two weeks of worsening neck pain and stiffness, occipital headaches, and intermittent arm tingling. This case explores the systematic evaluation of mechanical neck pain, including red flag assessment, physical examination with provocative testing, appropriate imaging utilization, and differentiation from cervical radiculopathy and inflammatory conditions. Highlights evidence-based conservative managemen...

A comprehensive primary care case study for 2025/2026 on a 21-year-old male presenting with progressive fatigue, unintentional weight loss, night sweats, abdominal pain, and significant lymphadenopathy. This case explores the systematic evaluation of constitutional syndrome with B-symptoms, differentiating between lymphoma, Crohn’s disease, tuberculosis, and other serious conditions. Includes detailed history taking, physical examination findings (including Virchow’s node and abdominal mass)...

A comprehensive primary care case study for 2025/2026 on a 21-year-old male presenting with progressive fatigue, unintentional weight loss, night sweats, abdominal pain, and significant lymphadenopathy. This case explores the systematic evaluation of constitutional syndrome with B-symptoms, differentiating between lymphoma, Crohn’s disease, tuberculosis, and other serious conditions. Includes detailed history taking, physical examination findings (including Virchow’s node and abdominal mass)...